Child Health and Development

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teacher and six young students wearing red hats inside a greenhouse looking at plants

To reach their full potential, children need high-quality health care and services—especially in life’s early years. Health promotion, safety, disease prevention, and early identification and treatment during these earliest years lay the foundation for healthy development.

Mounting evidence that health during childhood sets the stage for adult health creates an important ethical, social, and economic imperative to ensure that all children are as healthy as they can be. Healthy children are more likely to become healthy adults. FPG's scientists study many aspects of child health and development—from prenatal health to infant brain development to stress management in adolescents.

Featured FPG News Story

Utilizing her interdisciplinary experience in social science and epidemiology, Ping Chen specializes in conducting research focusing on social, environmental, behavioral, and biological linkages in developmental and life-course health trajectories. This interest led her to collaborate with colleagues on “Polygenic risk, childhood abuse and gene x environment interactions with depression development from middle to late adulthood: A U.S. national life-course study.”

Featured Publication

Children who live in areas with natural spaces from birth may experience fewer emotional issues between the ages of 2 and 5, according to a study funded by the NIH Environmental Influences on Child Health Outcomes (ECHO) program. Nissa Towe-Goodman a research scientist at FPG, lead this collaborative research.

Featured Research Project

FPG implementation specialists from the National Implementation Research Network (NIRN) are working to support the development of early childhood practitioners’ ability to care for children and get them ready for kindergarten by improving their capacity for implementation of interventions in primary care settings.

Current Projects

The purpose of this project is to support the development of the early childhood practitioners’ ability to care for children and get them ready for kindergarten by improving their capacity for implementation of interventions in primary care settings.
The current study examines the link between poverty and executive functions (cognitive processes that facilitate learning, self-monitoring, and decision making) which are known to undergo rapid developmental change during the first years of life.
This project will develop an African-centered, culturally responsive practice guide with specific strategies, exemplars, and materials with connected professional learning modules to guide effective implementation. The ultimate and long-term goal is to increase Black children’s social, cognitive, and emotional skills (e.g., racial identity, engagement, learning motivation, regulation), leading to strong academic and social competence and school success.
This replication study seeks to demonstrate the effectiveness of Targeted Reading Instruction (TRI, formerly called Targeted Reading Intervention) in helping grade 1 struggling readers make substantial gains in reading during one school year. It extends prior TRI studies by conducting an independent external evaluation of the TRI, testing long-term impacts for struggling readers into grade 3, and examining teachers’ sustained impacts for three years.
Through collaboration with national, state and local coalitions and organizations, the Equity Research Action Coalition will identify, track and align strategies to strengthen the focus on protecting, promoting, and preserving the well being, health, wealth, access and experiences of Black families and their families through anti-racist and cultural wealth policy making framework and communication.
This study will examine the early biological embedding of health and disease risk in young children’s telomeres, a biomarker of cellular aging. We will conduct a novel longitudinal study to examine the effects of prenatal and postnatal early life adversity (i.e., poverty, parent conflict, maternal stress) on accelerated biological aging, including telomere erosion and epigenetic aging clocks, across the first three years of life.
The purpose of this collaboration with Boston University is to develop and disseminate various products focused on the effects of racism during infancy through early childhood (birth to age 5) for racially marginalized children and families, specifically those that are Black, Latine, Indigenous, or Asian.
The purpose of this project is to establish the psychometric feature and instrument useability of a practitioner-administered observer impression scale assessment of preschool children’s peer-related social competence. The ratings for this scale are based on three 5-minute observations of preschool children engaging in social interaction with their peers. The information may be used for general assessment for all children, screening for children who may need support in establishing positive peer social competence, and progress monitoring. At the end of this project, a fully developed, psychometrically verified, and practical assessment of preschool children’s peer social competence, suitable for scaling up for program use, will be available to early childhood programs and practitioners.
This study aims to identify unobserved heterogeneity and capture complex patterns of program and classroom characteristics to inform targeted program quality improvement and teacher professional development, and identify program quality features and instructional practices that are beneficial for the Migrant and Seasonal Head Start children’s language and literacy development.
This project will train school staff who support students using pull-out reading instruction and intervention (e.g., “educators” such as reading specialists, paraeducators, instructional facilitators, tutors) to use Targeted Reading Instruction (TRI, formerly called Targeted Reading Intervention) with two adaptations: 1) a digital version of the traditionally “paper and pencil” intervention (“TRI app”) in a 2) high dosage model whereby educators provide daily reading support to multiple K-3 students not yet reading on grade level.
To support The Duke Endowment’s investments in evidence-based practices across the Rural Church and Child and Family Wellbeing program areas, the project team will engage in several system strengthening activities during the six-month period from January 1st, 2024 through June 30th, 2024. Within the Rural Church Summer Literacy Initiative, the project team will (1) support the refinement of the SLI practice model, (2) engage in programmatic coaching with staff at SLI grantee sites, (3) explore future tailored implementation support activities, and (4) provide design and consultation supports for bolstering data collection and monitoring across SLI grantee sites. Additionally, the project team will engage in several start-up activities for a Center of Excellence to support evidence-based programs and practices in North Carolina and South Carolina. These will include leadership engagement and system coaching, organizational development activities, and change management activities.
The purpose of this project is to gather perspectives from current Parents As Teachers families and parent educators. This is a developmental evaluation to understand how Parents as Teachers (PAT) could address race-based trauma and stressors and support the positive racial identity formation for young children.
The current study will be the first to examine the influence of early toxic stress, including the distal effects of living in poverty as well as the proximal factors of negative parenting and household chaos, on the development of gut microbiome diversity and maturity across 15, 24, 26, and 54 months.
This project will use secondary data analysis of two longitudinal datasets to test if childcare provider language prospectively predicts child executive functions (EFs) directly or indirectly through child language. We will also examine if different ways of measuring preschool teacher language quality are differentially predictive of child language and subsequent EFs.
The goal of this project is to identify opportunities and barriers to community based organizations, namely civil rights organizations such as the NAACP, The Leadership Conference, the National Urban League, NALEO Education Fund, Asian Americans Advancing Justice (AAJC), National Congress of American Indian (NCAI) in prioritizing early childhood development including access to high quality and affordable child care.